Evidence map›Paper›PMID 29326196›Full record

SynthesisBMJ open2018

Young adults' perspectives on living with kidney failure: a systematic review and thematic synthesis of qualitative studies.

Phillippa K Bailey, Alexander J Hamilton, Rhian L Clissold, Carol D Inward, Fergus J Caskey, Yoav Ben-Shlomo, Amanda Owen-Smith

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
14.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Observational
  7. Qualitative study on the sense of meaning in life in uremic patients undergoing initial hemodialysis.International journal of qualitative studies on health and well-being · 2025
    Article
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  9. Article
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  11. Article
  12. Review
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  17. A "pretty normal" life: a qualitative study exploring young people's experience of life with bronchiectasis.International journal of qualitative studies on health and well-being · 2021
    Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Phillippa K BaileyPopulation Health Sciences, Bristol Medical School, Bristol, UK.ORCID 0000-0003-2323-1082
Alexander J HamiltonPopulation Health Sciences, Bristol Medical School, Bristol, UK.
Rhian L ClissoldInstitute of Biomedical and Clinical Science, University of Exeter Medical School, Exeter, UK.
Carol D InwardPaediatric Nephrology Department, Bristol Royal Hospital for Children, Bristol, UK.
Fergus J CaskeyPopulation Health Sciences, Bristol Medical School, Bristol, UK.
Yoav Ben-ShlomoPopulation Health Sciences, Bristol Medical School, Bristol, UK.
Amanda Owen-SmithPopulation Health Sciences, Bristol Medical School, Bristol, UK.
At Bristol · GBNorth Bristol NHS Trust · GBBristol Royal Hospital for Children · GBSouthmead Hospital · GBUniversity of Exeter · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionYoung adults fare worse than younger adolescents or older adults on a broad range of health indicators. Those with a chronic illness such as renal failure are a particularly vulnerable group, who experience poor outcomes compared with both children and older adults. Understanding how being in receipt of renal replacement therapy (RRT) affects the lives of young adults might help us to better prepare and support these individuals for and on RRT, and improve outcomes. This study aimed to synthesise research describing young adults' experiences of the psychosocial impact of kidney failure and RRT.

designA systematic literature review identified qualitative research reporting the perspectives of people aged 16-30 years receiving RRT on the psychosocial impact of renal failure. Electronic databases (including Medline/EMBASE/PsycINFO/ASSIA) were searched to November 2017 for full-text papers. The transparency of reporting of each study was assessed using the Consolidated Criteria for Reporting Qualitative Health Research (COREQ) framework. Quality was assessed using the Critical Appraisal Skills Programme qualitative checklist. An inductive thematic synthesis was undertaken.

participantsSeven studies from five different countries were included, comprising 123 young adults receiving RRT.

resultsComprehensiveness of reporting was variable: studies reported 9-22 of the 32 COREQ-checklist items.Three global themes about the impact of kidney failure on young adults were identified: (1) difference desiring normality, (2) thwarted or moderated dreams and ambitions, and (3) uncertainty and liminality. These reflected five organising themes: (1) physical appearance and body image, (2) activity and participation, (3) educational disruption and underachievement, (4) career ambitions and employment difficulties, and (5) social isolation and intimate relationships.

conclusionsAcross different countries and different healthcare settings, young adults on RRT experience difference and liminality, even after transplantation. Tailored social and psychological support is required to allow young adults to experience wellness while in receipt of RRT, and not have life on hold.

Indexed as

Chronic DiseaseQuality of LifeRenal InsufficiencyRenal Replacement TherapyAdolescentAdultCareer ChoiceFemaleHumansInterpersonal RelationsMaleQualitative ResearchSelf ConceptSocial IsolationYoung Adultpsychosocial impactqualitative researchrenal replacement therapythematic synthesisyoung adults

Identifiers

PMID29326196
PMCPMC5781019
OpenAlexW2777976890

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.